define("pages/jls_sj/formjkjc.html", [],
    '<div id="dlg" class="easyui-dialog" title="健康检查" \
            style="width: 100%; height:85%; padding: 10px 20px; padding-top: 10px"\
                modal="true" closed="true" buttons="#dlg-buttons" data-options="maximized:false,maximizable:false,minimizable:false,collapsible:false,resizable: false">\
    <div data-options="region:\'center\'" style="padding:10px;">\
    <form id="fm_jkjc" method="post" fit="true" novalidate style="text-align:center;margin-left: -40px">\
            <div class="fitem" hidden="true" style="margin-left: 25px; margin-top : 5px; margin-bottom: 10px">\
                 <input id="jsbhIDU" class="easyui-textbox" name="jsbh"  style="width: 200px" value="{{jbxx.jsbh}}">\
            </div>\
            <div style="display: none">\
                <input class="easyui-textbox" id="idIDU" name="id" style="width: 60%" value="{{jbxx.id}}">\
            </div>\
            <div style="display: none">\
                <input class="easyui-textbox" id="taskId" name="taskid" style="width: 60%" value="{{jbxx.taskid}}">\
            </div>\
             <table id="name1" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0;margin-bottom: 3px">\
                <tr>\
                    <td class="fitem">\
                        <label style="margin-left: 50px">案件编号:</label>\
                        <input id="gcbhfm" class="easyui-textbox" name="gcbh" readonly style="width: 50" value="{{jbxx.gcbh}}">\
                    </td>\
                    <td class="fitem">\
                        <label style="margin-left: 79px">姓名:</label>\
                        <input id="xmfm" class="easyui-textbox" name="jbxxXm" readonly style="width: 50" value="{{jbxx.xm}}">\
                    </td>\
                    <td class="fitem">\
                        <label style="margin-left: 73px">血型:</label>\
                        <input id="xxfm" class="awdSelect" code=\'XX\'name="xx" style="width: 170px">\
                    </td>\
                </tr>\
            </table>\
            <table id="name2" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0;margin-bottom: 3px">\
                <tr>\
                    <td class="fitem">\
                        <label style="margin-left: 37px">心率(次/分):</label>\
                        <input id="xlfm" name="xl" class="easyui-textbox" style="width: 50">\
                    </td>\
                    <td class="fitem">\
                        <label style="margin-left: 50px">足长(cm)<font color="red">*</font>:</label>\
                        <input id="zcfm" name="zc"  required class="easyui-textbox" style="width: 50">\
                    </td>\
                    <td class="fitem">\
                        <label style="margin-left: 40px">身高(cm)<font color="red">*</font>:</label>\
                        <input id="sgfm" name="sg"  required class="easyui-textbox" style="width: 50">\
                    </td>\
                </tr>\
            </table>\
            <table id="name3" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0;margin-bottom: 3px">\
                <tr>\
                    <td class="fitem">\
                        <label style="margin-left: 44px">体重(kg)<font color="red">*</font>:</label>\
                        <input id="tzfm" class="easyui-textbox" required name="tz" style="width: 50">\
                    </td>\
                    <td class="fitem">\
                        <label style="margin-left: 35px">血压(mmHg):</label>\
                        <input id="xyfm" class="easyui-textbox" name="xy" style="width: 50">\
                    </td> \
                    <td class="fitem">\
                        <label style="margin-left: 52px">体温(℃):</label>\
                        <input id="twfm" class="easyui-textbox" name="tw" style="width: 50">\
                    </td>\
                </tr>\
            </table>\
            <table id="name4" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0;margin-bottom: 3px">\
                <tr>\
                    <td class="fitem">\
                        <label style="margin-left: 43px">健康状况<font color="red">*</font>:</label>\
                        <input id="jkzkfm" class="awdSelect" code=\'JKZK\' name="jkzk" required style="width: 170px">\
                    </td>\
                    <td class="fitem">\
                        <label style="margin-left: 55px">检查日期<font color="red">*</font>:</label>\
                        <input id="jcrqfm" class="easyui-datebox" name="ysjcrq" required style="width: 50">\
                    </td> \
                    <td class="fitem">\
                        <label style="margin-left: 60px">血常规:</label>\
                        <input id="xcgfm" class="easyui-textbox" name="xcg" style="width: 50">\
                    </td>\
                </tr>\
            </table>\
            <table id="name5" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0;margin-bottom: 3px">\
                <tr>\
                    <td class="fitem">\
                        <label style="margin-left: 60px">心电图:</label>\
                        <input id="xdtfm" class="easyui-textbox" name="xdt" style="width: 50">\
                    </td>\
                    <td class="fitem">\
                        <label style="margin-left: 79px">脏器:</label>\
                        <input id="zqfm" class="easyui-textbox" name="zq" style="width: 50">\
                    </td>\
                    <td class="fitem">\
                        <label style="margin-left: 73px">胸片:</label>\
                        <input id="xpfm" class="easyui-textbox" name="xp" style="width: 50">\
                    </td>\
                </tr>\
            </table>\
            <fieldset style=" border:1px; border:1px solid #d9d6d6;margin-left: 60px">\
                <legend>\
                    <table id="add_tmtzA" style="float: left;margin: 0px">\
                        <tr id="tmtzA" >\
                            <td>\
                                <input type="checkbox" name="tmtza" id="tmtza" />\
                            </td>\
                            <td>\
                                <span>体貌特征一</span>\
                            </td>\
                        </tr>\
                    </table>\
                </legend>\
                <div id="Menu_tmtzA">\
                <table id="yc1"> \
                    <tr>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 123px">人体部位:</label>\
                            <input id="rtbw1fm" class="awdSelect" code=\'RTBW\' alike=\'01\' name="rtbw1" style="width: 170px">\
                        </td>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 240px">体貌特征:</label>\
                            <input id="tmtz1fm" class="awdSelect" code=\'TSBJ\' alike=\'01\' name="tmtz1" style="width: 170px">\
                        </td>\
                    </tr>\
                </table>\
                <table id="yc2"> \
                    <tr>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 146px">方位:</label>\
                            <input id="fw1fm" class="awdSelect" code=\'FW\' alike=\'1\' name="fw1" style="width: 170px">\
                        </td>\
                        <td class="fitem" id="jsh" style="margin-left: 40px; margin-bottom: 20px">\
                            <label style="margin-left: 265px">数量:</label>\
                            <input id="sl1fm" class="awdSelect" code=\'SL\' alike=\'1\' name="sl1" style="width: 170px">\
                        </td>\
                   </tr>\
                </table>\
                </div>\
            </fieldset>\
            <fieldset style=" border:1px; border:1px solid #d9d6d6;margin-left: 60px">\
                <legend>\
                    <table id="add_tmtzB">\
                        <tr id="tmtzB" style="float: left;margin: 0px">\
                            <td>\
                                <input type="checkbox" name="tmtzb" id="tmtzb" />\
                            </td>\
                            <td>\
                                <span>体貌特征二</span>\
                            </td>\
                        </tr>\
                    </table>\
                </legend>\
                <div id="Menu_tmtzB">\
                <table id="yc3">\
                  <tr>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 123px">人体部位:</label>\
                            <input id="rtbw2fm" name="rtbw2" class="awdSelect" code=\'RTBW\' alike=\'02\' style="width: 170px">\
                        </td>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 240px">体貌特征:</label>\
                            <input id="tmtz2fm" name="tmtz2" class="awdSelect" code=\'TSBJ\' alike=\'02\' style="width: 170px">\
                        </td>\
                    </tr>\
                </table>\
                <table id="yc4">\
                   <tr>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 146px">方位:</label>\
                            <input id="fw1fm" class="awdSelect" code=\'FW\' alike=\'2\' name="fw2" style="width: 170px">\
                        </td>\
                        <td class="fitem" id="jsh" style="margin-left: 40px; margin-bottom: 20px">\
                            <label style="margin-left: 265px">数量:</label>\
                                <input id="sl1fm" class="awdSelect" code=\'SL\' alike=\'2\' name="sl2" style="width: 170px">\
                        </td>\
                   </tr>\
                </table>\
                </div>\
            </fieldset>\
            <fieldset style=" border:1px; border:1px solid #d9d6d6;margin-left: 60px">\
                <legend>\
                    <table id="add_tmtzC">\
                        <tr id="tmtzC" style="float: left;margin: 0px">\
                            <td>\
                                <input type="checkbox" name="tmtzc" id="tmtzc" />\
                            </td>\
                            <td>\
                                <span>体貌特征三</span>\
                            </td>\
                        </tr>\
                    </table>\
                </legend>\
                <div id="Menu_tmtzC">\
                <table id="yc5">\
                    <tr>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 123px">人体部位:</label>\
                            <input id="rtbw3fm" name="rtbw3" class="awdSelect" code=\'RTBW\' alike=\'03\' style="width: 170px">\
                        </td>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 240px">体貌特征:</label>\
                            <input id="tmtz3fm" name="tmtz3" class="awdSelect" code=\'TSBJ\' alike=\'03\' style="width: 170px">\
                        </td>\
                    </tr>\
                </table>\
                <table id="yc6">\
                    <tr>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 146px">方位:</label>\
                            <input id="fw1fm" class="awdSelect" code=\'FW\' alike=\'3\' name="fw3" style="width: 170px">\
                        </td>\
                        <td class="fitem" id="jsh" style="margin-left: 40px; margin-bottom: 20px">\
                            <label style="margin-left: 265px">数量:</label>\
                                <input id="sl1fm" class="awdSelect" code=\'SL\' alike=\'3\' name="sl3" style="width: 170px">\
                        </td>\
                   </tr>\
                </table>\
                </div>\
            </fieldset>\
            <fieldset style=" border:1px; border:1px solid #d9d6d6;margin-left: 60px">\
                <legend>\
                    <table id="add_tmtzD">\
                        <tr id="tmtzD" style="float: left;margin: 0px">\
                            <td>\
                                <input type="checkbox" name="tmtzd" id="tmtzd" />\
                            </td>\
                            <td>\
                                <span>体貌特征四</span>\
                            </td>\
                        </tr>\
                    </table>\
                </legend>\
                <div id="Menu_tmtzD">\
                <table id="yc7">\
                    <tr>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 123px">人体部位:</label>\
                            <input id="rtbw4fm" name="rtbw4" class="awdSelect" code=\'RTBW\' alike=\'04\' style="width: 170px">\
                        </td>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 240px">体貌特征:</label>\
                            <input id="tmtz4fm" name="tmtz4" class="awdSelect" code=\'TSBJ\' alike=\'04\' style="width: 170px">\
                        </td>\
                    </tr>\
                </table>\
                <table id="yc8">\
                    <tr>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 146px">方位:</label>\
                            <input id="fw1fm" class="awdSelect" code=\'FW\' alike=\'4\' name="fw4" style="width: 170px">\
                        </td>\
                        <td class="fitem" id="jsh" style="margin-left: 40px; margin-bottom: 20px">\
                            <label style="margin-left: 265px">数量:</label>\
                                <input id="sl1fm" class="awdSelect" code=\'SL\' alike=\'4\' name="sl4" style="width: 170px">\
                        </td>\
                  </tr>\
                </table>\
                </div>\
            </fieldset>\
            <fieldset style=" border:1px; border:1px solid #d9d6d6;margin-left: 60px">\
                <legend>\
                    <table id="add_tmtzE">\
                        <tr id="tmtzE" style="float: left;margin: 0px">\
                            <td>\
                                <input type="checkbox" name="tmtze" id="tmtze" />\
                            </td>\
                            <td>\
                                <span>体貌特征五</span>\
                            </td>\
                        </tr>\
                    </table>\
                </legend>\
                <div id="Menu_tmtzE">\
                <table id="yc9">\
                    <tr>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 123px">人体部位:</label>\
                            <input id="rtbw5fm" name="rtbw5" class="awdSelect" code=\'RTBW\' alike=\'05\' style="width: 170px">\
                        </td>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                            <label style="margin-left: 240px">体貌特征:</label>\
                            <input id="tmtz5fm" name="tmtz5" class="awdSelect" code=\'TSBJ\' alike=\'05\' style="width: 170px">\
                        </td>\
                    </tr>\
                </table>\
                <table id="yc10">\
                    <tr>\
                    <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                        <label style="margin-left: 146px">方位:</label>\
                        <input id="fw1fm" class="awdSelect" code=\'FW\' alike=\'5\' name="fw5" style="width: 170px">\
                    </td>\
                    <td class="fitem" id="jsh" style="margin-left: 40px; margin-bottom: 20px">\
                        <label style="margin-left: 265px">数量:</label>\
                            <input id="sl1fm" class="awdSelect" code=\'SL\' alike=\'5\' name="sl5" style="width: 170px">\
                    </td>\
                 </tr>\
                </table>\
                </div>\
            </fieldset>\</br>\
            <table id="name6" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0;margin-bottom: 10px">\
                <tr>\
                <td class="fitem">\
                    <label style="margin-left: 50px">行走状况:</label>\
                    <input id="xzzkfm" class="easyui-textbox" name="xzzk" style="width: 50%">\
                </td>\
                <td class="fitem">\
                    <label style="margin-left: 50px">表达能力:</label>\
                    <input id="yyfm" class="easyui-textbox" name="yy" style="width: 50%">\
                </td>\
                <td class="fitem">\
                    <label style="margin-left: 60px">过敏史:</label>\
                    <input id="gmsfm" class="easyui-textbox" name="gms" style="width: 50%">\
                </td>\
                </tr>\
            </table>\
            <div id="szbh">\
                <div id="szbh_1" style="width: 500px">\
                    <div class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                        <label style="margin-left: 12px">设置病号:</label>\
                        <input id="bszfm" type="radio" name="bhlx" checked="checked" value="0">不设置\
                        <input id="zdbhfm" type="radio" name="bhlx" value="1">重点病号\
                        <input id="ptbhfm" type="radio" name="bhlx" value="2">普通病号\
                    </div>\
                </div>\
            </div>\
            <fieldset style="border:1px; border:1px solid #d9d6d6;margin-left: 60px">\
                <legend>\
                    <table id="add_tbsq">\
                        <tr id="tbsq" style="float: left;margin: 0px">\
                            <td>\
                                <input type="checkbox" name="tbsqY" id="tbsqY" />\
                            </td>\
                            <td>\
                                <span>体表伤情</span>\
                            </td>\
                        </tr>\
                    </table>\
                </legend>\
                <div id="Menu_tbsq">\
                <table id="yc11" >\
                    <tr>\
                    <td class="fitem" style="margin-left: 105px;margin-bottom: 20px">\
                        <label style="margin-left:105px">致伤部位:</label>\
                        <input id="zsbwfm" class="easyui-textbox" name="zsbw" style="width: 200px">\
                    </td>\
                    <td class="fitem"  style="margin-left: 40px;margin-bottom: 20px">\
                        <label style="margin-left: 230px">采取措施:</label>\
                        <input id="cqcsfm" class="awdSelect" code=\'JKQKCQCS\' name="cqcs" style="width: 200px">\
                    </td>\
                    </tr>\
                </table>\
                <table id="yc12" >\
                    <tr>\
                    <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                        <label style="margin-left: 35px">致伤日期与原因:</label>\
                        <input id="zsrqyyyfm" data-options="multiline:true" class="easyui-textbox" name="zsrqyyy" style="width: 200px;height:70px">\
                    </td>\
                    <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                        <label style="margin-left: 220px">伤势:</label>\
                        <input id="sbqfm" data-options="multiline:true" class="easyui-textbox" name="sbq" style="width: 200px;height:70px">\
                    </td>\
                    </tr>\
                    <tr>\
                    <td class="fitem" id="jsh" style="margin-left: 40px; margin-bottom: 20px">\
                        <label id="csqfm" style="margin-left: 15px">此伤情是否为暴力拒捕行凶、脱逃、自残、自杀行为:</label>&nbsp;&nbsp;&nbsp;&nbsp;\
                        <input id="sfm" type="radio" name="tbsqyy" value="1">是\
                        <input id="bsfm" type="radio" name="tbsqyy" value="0" checked="checked">不是\
                    </td>\
                    </tr>\
                </table>\
                </div>\
            </fieldset>\
            <fieldset style="border:1px; border:1px solid #d9d6d6;margin-left: 60px">\
                <legend>\
                    <table id="add_tsjcxm">\
                        <tr id="tsjcxm" style="float: left;margin: 0px">\
                            <td>\
                                <input type="checkbox" name="tsjc" id="tsjc" />\
                            </td>\
                            <td>\
                                <span>特殊检查项目</span>\
                        </td>\
                        </tr>\
                    </table>\
                </legend>\
                <div id="Menu_tsjc">\
                <table id="yc11" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0">\
                        <tr>\
                    <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                        <label style="margin-left: 0px">育龄女性妊娠检查:</label>\
                        <input id="wjcfm1" type="radio" name="ylnxrsjc" value="0" checked="checked" >未检查&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\
                        <input id="yjcfm1" type="radio" name="ylnxrsjc"value="1" >已检查\
                    </td>\
                    <td class="fitem"  style="margin-left: 40px; margin-bottom: 20px">\
                        <label style="margin-left: 5px">涉赌人员毒检:</label>\
                        <input id="wjcfm2" type="radio" name="sdrydj" value="0" checked="checked">未检查&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\
                        <input id="yjcfm2" type="radio" name="sdrydj" value="1" >已检查\
                    </td>\
                        <td class="fitem" style="margin-left: 40px; margin-bottom: 20px">\
                        <label style="margin-left: 5px">艾滋病人员检查:</label>\
                        <input id="wjcfm3" type="radio" name="azbryjc" value="0" checked="checked">未检查&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\
                        <input id="yjcfm3" type="radio" name="azbryjc" value="1" >已检查\
                    </td> \
                    </tr>\
                </table>\
                <table id="yc12" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0"> \
                    <tr>\
                    <td class="fitem" style="margin-left: 40px; margin-bottom: 10px">\
                        <label style="margin-left:12px">糖尿病人员检查:</label>\
                        <input id="wjcfm4" type="radio" name="tnbryjc" value="0" checked="checked">未检查&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\
                        <input id="yjcfm4" type="radio" name="tnbryjc" value="1" >已检查\
                    </td><td class="fitem" id="jsh" style="margin-left: 40px; margin-bottom: 20px">\
                        <label style="margin-left: 275px">流行病检查:</label>\
                        <input id="wjcfm5" type="radio" name="lxbjc" value="0" checked="checked">未检查&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\
                        <input id="yjcfm5" type="radio" name="lxbjc" value="1" >已检查</td>\</tr>\
                </table>\
                </div>\
            </fieldset></br>\
            <table id="name7" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0">\
                <tr>\
                <td class="fitem">\
                    <label style="margin-left: 52px">聋哑人<font color="red">*</font>:</label>\
                    <input id="lyryesfm"  type="radio" name="lyr"  value="1">是&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\
                    <input id="lyrnofm"  type="radio" name="lyr" checked="checked" value="0">不是\
                </td>\
                <td class="fitem">\
                    <label style="margin-left: 100px">智力严重低下、侏儒、两性人、生活不能自理的<font color="red">*</font>:</label>\
                    <input id="wxysyesfm" type="radio" name="wxys" value="1">是&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\
                    <input id="wxysnofm"  type="radio" checked="checked" name="wxys" value="0">不是\
                </td>\
                </tr>\
            </table>\
            <table id="name8" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0;margin-bottom: 10px">\<tr>\
                <td class="fitem">\
                    <label style="margin-left: 50px">自述疾病:</label>\
                    <input id="brbsfm" data-options="multiline:true" class="easyui-textbox" name="brbs" style="width: 50%;height: 70px">\
                </td>\
                <td class="fitem">\
                    <label style="margin-left: 50px">家庭病史:</label>\
                    <input id="jtbsfm" data-options="multiline:true" class="easyui-textbox" name="jtbs" style="width: 50%;height:70px">\
                </td>\
                    <td class="fitem">\
                    <label style="margin-left: 60px">传染病:</label>\
                    <input id="crbfm" data-options="multiline:true" class="easyui-textbox" name="crb" style="width: 50%;height:70px">\
                </td> \
                </tr>\
            </table>\
            <table id="name9" align="center" style="width:100%;border:0;border-collapse:collapse;cellspacing:0;cellpadding:0;margin-bottom: 10px"> \
                <tr>\
                <td class="fitem">\
                    <label style="margin-left: 50px">医生意见:</label>\
                    <input id="ysyjfm" data-options="multiline:true" class="easyui-textbox" name="ysyj" style="width: 50%;height:70px">\
                </td>\
                <td class="fitem">\
                    <label style="margin-left: 73px">备注:</label>\
                    <input id="bzfm" data-options="multiline:true" class="easyui-textbox" name="bz" style="width: 50%;height:70px">\
                </td>\
                <td class="fitem">\
                    <label style="margin-left: 56px">检查人<font color="red">*</font>:</label>\
                    <input id="jcrfm" class="easyui-textbox" required name="jcys" style="width: 50%;" value="{{jcys}}">\
                </td>\
                </tr>\
            </table>\
        </form>\
        </div>\
        <div id="dlg-buttons">\
        <a href="#" class="easyui-linkbutton" iconCls="icon-ok" id="jkjc_save">接收</a>\
        <a href="#" class="easyui-linkbutton" iconCls="icon-ok" id="jkjc_jushou">拒收</a>\
        <a href="#" class="easyui-linkbutton" iconCls="icon-cancel" id="jkjc_cancle">关闭</a>\
        </div>');